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General NPI Number Information
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NPI Number | 1629782867
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Entity Type | Individual
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Provider Name | MAKAELA ADAMSON PA
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Gender | Female
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Dates
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Enumeration Date | 01/12/2023
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 9045 BALBOA AVE
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City | SAN DIEGO
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State | CA
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Zip | 92123-1509
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Country | US
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Telephone | 801-558-7098
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Fax |
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Provider Business Mailing Address
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Address Line | 4722 BOUNTIFUL RIDGE DR
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City | BOUNTIFUL
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State | UT
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Zip | 84010-5888
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Country | US
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Telephone | 801-558-7098
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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